Coronial

66 results for intubation for respiratory support

WAhospital2022-03-28

Inquest into the Death of Morgan John EDWARDS

31y · Male·Complications in association with intestinal volvulus

…s, sepsis and pneumonia. He died despite emergency surgery preparation. Key failures included: absence of supporting care worker at initial ED visit, inadequate discharge communication, flawed EWS system not accounting …

emergency medicinegastroenterologydiagnosticcommunication
QLDhospital2025-10-01

Non-inquest findings into the death of Mr S

26y · Male·Multi-organ failure due to pneumococcal septic shock

A 26-year-old man presented with chest and abdominal pain, initially diagnosed with possible hepatitis based on elevated liver function tests. He developed an atypical blanched rash not recognised as varicella zoster (ch…

emergency medicineinfectious diseasesdiagnosticdelayantacid
QLDhospital2018-09-21

Baby M

0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…

…e carrying the newborn to another resuscitation table after the primary table lacked a compatible connector for ventilation equipment. Key clinical lessons include: inadequate prenatal care with missed opportunities for

obstetricsmidwiferydiagnosticmedicationantibiotics
SAhospitalPodcast2025-07-31

Coroner's Finding: Panella, Anna Vincenza and Skeffington, Bernard Anthony and Jessett, Graham Henry

Unknown·Panella: pulmonary thromboembolism due to left calf deep vein thrombosis; Skeffi…

… thromboembolism; Bernard Skeffington (89) died from aspiration pneumonia after waiting 1 hour 43 minutes before admission; Graham Jessett (64) died from ischaemic heart disease complicated by undetected hyperkalaemia. …

emergency medicinecardiologycommunicationsystem
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

…nd multi-organ failure present by 10:40am. Clinical lessons: recognize when rural facilities are inadequate for deteriorating patients; respond more assertively to nursing concerns about persistent hypotension; escalate…

emergency medicinegeneral practicediagnosticdelaymorphine
QLDhospital2017-06-22

PS - Non-inquest findings

68y · Female·Coronary heart disease

…later in acute pulmonary oedema and died despite resuscitation. Clinical lessons: inadequate length of stay for diagnostic clarity in acute heart failure; failure to act on abnormal vital signs and Q-ADDS scores; poor d…

cardiologyemergency medicinediagnosticcommunicationfurosemide

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